Active NPI
Michele Marie Mayer, N.P., C.N.M.
- Obstetrics & Gynecology Nurse Practitioner
- Port Jefferson Station, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 001110
- Practice address
- 5225 Nesconset Hwy Ste 70
Port Jefferson Station, NY 11776-2061 - Phone
- (631) 331-8777
- Fax
- (631) 474-9169
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 001110 | NY | Primary |
| Advanced Practice Midwife | 367A00000X | 001110 | NY |
Addresses
Primary practice location
5225 Nesconset Hwy Ste 70
Port Jefferson Station, NY 11776-2061
Mailing address
5225 Nesconset Hwy Ste 70
Port Jefferson Station, NY 11776-2061
Phone (631) 331-8777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001110 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001110 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntington Hospital Dolan Family Health Center | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| North Shore Long Island Jewish Health Care Inc | Past | Accepting new patients |
Locations
777 Larkfield Rd
Commack, NY 11725
Phone (631) 635-5100
270 Park Ave
Fl 1
Huntington, NY 11743
Phone (631) 351-2219
752 Park Ave
Huntington, NY 11743
Phone (631) 271-9017
270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308
1572 New York Ave
Huntington Station, NY 11746
Phone (631) 425-5250
300 Community Dr
Plandome, NY 11030
222 E Middle Country Rd
Ste 210
Smithtown, NY 11787
Phone (631) 265-6868
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- michelemayer@nslijmedgr.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Greenlawn, NY
- NPI 1578593588
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Internal Medicine Physician
- New York, NY
- NPI 1912338385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1467525444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 NESCONSET HWY STE 70",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762061",
"telephone_number": "631-331-8777",
"fax_number": "631-474-9169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 NESCONSET HWY STE 70",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762061",
"telephone_number": "631-331-8777",
"fax_number": "631-474-9169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "MICHELE",
"middle_name": "MARIE",
"credential": "N.P., C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NY",
"license": "001110",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "001110",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "001110",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson Station, NY
- Paul Mastrorocco, DISPENSING OPTICIAN
- Kenneth Ryan Mataragas, PA-C
- Mather Faculty Medical Affiliates, University Faculty Practice Corp
- Karen Matragrano, NP-C
- Kelly A. Matthews, LPN
- Alan Lloyd Mazer, D.M.D.
- Carolina McCalmon, PA-C
- Vittoria A. McCarthy, C.O.T.A.
- Patrick Joseph McCauley III, PSYD
- Carolyn McConville, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.